Check the box next to the items in the following list that apply to your current circumstances.

Death of a Spouse

Divorce

Marital separation

Detention in jail or institution

Death of a close family member

Major personal injury or illness

Marriage

Being fired from work

The information on this Web site is provided as a public service. This information is not intended to be a substitute for individual medical advice in diagnosing or treating a health problem. Please consult with your health care provider about your health care concerns.